| NPI | 1588170369 |
|---|---|
| Former Name | KRISTEN LEE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100648) |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2022-02-18 |